Introducing, NavigatorMD Design 180™ software,…the simplest, most comprehensive timely data source and analytical tool available for health plan design and management.
Use the analytical information to design your health plan and wellness program and measure the results/savings.
Chronic Disease Management (approximately 70% of total claims cost)
Indentify chronic conditions unique to your plan (over thirty predefined conditions) – % of population and claims cost
Immediate measurement of compliance with medical standards of care and cost related to compliance
Quickly/easily identify cost of increasing compliance
Preventive Screening / Immunizations
Identify compliance with medically recommended screens (i.e. breast cancer, colon cancer, cholesterol, etc.) based on medical guidelines
Identify immunization compliance
Plan Modeling / Design
Measure the impact of plan design changes on plan cost
In/Out of Network Deductibles, Coinsurance, Out of Pocket Max
Supports multi-tiered plans
Assign specific coinsurance, deductibles, copays, occurrence limits,
dollar limits to specific procedures / benefits
Cost Tracking / Data Analysis
Standard monthly predefined reports – plan summary, top ten procedures, top ten diagnoses, top ten providers etc.
Ad hoc analysis and reporting – drilldown capability and exportable to standard PC software
How it Works
NavigatorMD software is installed on a plan sponsors PC. Your third party administrator (TPA) transmits raw claims data to NavigatorMD headquarters. NavigatorMD maps your plans data, through its unique data transformation technology, to an encrypted database. The information is fully HIPAA compliant and data display is controlled by software keys. Historical claims data may be loaded at startup allowing immediate access to your plans baseline data.
When new data is available for your plan (at least monthly) with two clicks of your mouse you are downloading the data from NavigatorMD’s servers to your PC over the internet.
If you can use an Excel spreadsheet you will have no problem using NavigatorMD
Phone: 423-343-5404
email: navigatormd@semgmtconsulting.com for a demonstration.